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作 者:文海昭 曹三利[1] 石少辉[1] 王立[1] 李海啸[1] WEN Haizhao;CAO Sanli;SHI Shaohui;WANG Li;LI Haixiao(Aviation General Hospital,Beijing 100012,China)
机构地区:[1]航空总医院,北京100012
出 处:《大医生》2019年第17期61-62,共2页Doctor
摘 要:目的探究全髋关节置换术治疗高龄患者股骨颈骨折疗效的影响因素。方法选取2013年1月至2018年1月航空总医院收治的37例患者,并给予全髋关节置换术,根据术后髋关节功能恢复状况判定其治疗效果,并分析关节功能恢复的独立影响因素。结果全髋关节置换术并发症低,术前存在内科疾病、失血量≥320 mL、术后无功能锻炼、手术时间≥80 min均是影响患者关节功能恢复的影响因素。结论全髋关节置换术治疗高龄患者股骨颈骨折疗效显著,其中术前存在内科疾病影响、失血量过多、术后缺乏功能锻炼、手术时间过长等,均是影响其术后关节功能恢复的重要因素。Objective To explore the influencing factors of total hip replacement(THR)for femoral neck fracture in elderly patients.Methods A total of 37 patients admitted to General Aviation Hospital from January 2013 to January 2018 were selected and performed THR.The therapeutic effect was evaluated based on the functional recovery of hip joint after operation.The independent factors influencing the recovery of joint function were analyzed.Results The complications of THR were low.Medical diseases before operation,blood loss(≥32 mL),no functional exercise after operation and operation time(≥80 min)were all independent factors influencing the recovery of joint function.Conclusion THR is effective in the treatment of femoral neck fracture in elderly patients.Medical diseases before operation,excessive blood loss,lack of functional exercise after operation and long operation time(≥80 min)were all independent factors influencing the recovery of joint function.
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